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CMS Releases Last Minute Letter Of Agreement Establishing New Procedures For Waiver Withdraws - Food, Drugs, Healthcare, Life Sciences

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A quick, timely update for our reader. As reported in our
previous
posts on the recently approved
Tennessee waiver, in likely anticipation of the Biden
Administration withdrawing the newly approved, but controversial
waiver, on January 4, 2021 CMS Administrator Seema Verma sent a
letter (
available here) to State Medicaid Directors
requesting they sign a
Letter of Agreement
as soon as possible establishing new procedural rights
for any future waiver withdrawals by CMS. As we have pointed out in
previous posts, approved waiver Terms and Conditions have ....

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CMS Approves Tennessee "Block Grant" Waiver: A Summary and Analysis from your Editors | Foley Hoag LLP - Medicaid and the Law

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The following post is our brief guide around the context and major financing and coverage principles of the Tennessee waiver (TennCare III). Given the import of the formulary flexibilities to many of our clients, we have “carved out” (to use a Medicaid pun) that discussion for a future post (coming this week!)
On Friday January 8
th, in the final days of the Trump Administration, CMS announced approval of a first-in-the-nation waiver that would permit Tennessee to transition from Medicaid’s longstanding, open-ended financing model to a modified “block grant” model – a financing system under which the Federal government has agreed to commit a discrete amount of dollars to the state, adjusted only by enrollment growth and pre-established inflation factors. Within this “aggregate cap” approach, Tennessee would have greater reins to modify coverage, benefits, and payment outside of established Fed ....

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